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Colorado’s limited adult Medicaid benefit is now available. Qualifying adults are able to visit a dental practice or clinic that is already enrolled in Medicaid and can accept Medicaid payments. The adult dental benefit allows Medicaid enrolled clients, age 21 years and over, to receive a number of basic dental services currently offered to children such as evaluations, diagnostic imaging, preventive and restorative services.

Adult Medicaid clients may receive up to $1,000 of the dental services per 12-month state fiscal year period (July 1 to June 30). Until July 1, 2014, the adult benefit will be limited to the dental services that are currently offered to children and do not require a prior authorization.

The state Medicaid department is developing a third-party administration system (similar to how CHP+ is administered) for both the adult and child Medicaid dental benefits. Under this administrator, a more comprehensive adult dental benefit is scheduled to begin on July 1. More details on the selected administrator of the program should be available in late March.

In the meantime, your practice may receive inquiries from patients seeking treatment through Medicaid.

If you are already a Medicaid provider, you may start providing the limited services described to adult patients.